CAMERON L PANGBORN DDS - Dentist License in Wisconsin | # 019025260

CAMERON L PANGBORN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025260

License Status

NOT RENEWED

Business

N

First Name

CAMERON

Middle

L

Last Name

PANGBORN

Suffix

DDS

Business Name

CAMERON L PANGBORN DDS

Original Issue Date

05/10/2000

Effective Date

05/10/2000

Expiration Date

09/30/2002

State

WI

Ever Disciplined

N

LastModifiedDate

10/17/2005